Becoming anIn-Network Provider
There are pros and cons of becoming an in-network provider with a local payer. For many organizations, becoming an in-network provider can have strategic value. Considering the wide range of out-of-network reimbursement rates, being an in-network provider can add stability and consistency. We can help you evaluate the key issues and create a strategic plan tailored for your organization.
Becoming anIn-Network Provider
There are pros and cons of becoming an in-network provider with a local payer. For many organizations, becoming an in-network provider can have strategic value. Considering the wide range of out-of-network reimbursement rates, being an in-network provider can add stability and consistency. We can help you evaluate the key issues and create a strategic plan tailored for your organization.
Advantagesvs. Disadvantages
Knowledge Is Power
Payer contracts cover everything from reimbursement rates and network coverage to medical necessity criteria and prior-authorization requirements. Understanding payer contracts is key to ensuring timely and correct reimbursements as well as avoiding claim denials.
The agreed upon rates in a payer contract will be the basis for your level of reimbursement and it is crucial to negotiate them carefully. We utilize our knowledge, industry relationships and expertise to help our clients gets the most advantageous terms and rates.
Knowledge Is Power
Payer contracts cover everything from reimbursement rates and network coverage to medical necessity criteria and prior-authorization requirements. Understanding payer contracts is key to ensuring timely and correct reimbursements as well as avoiding claim denials.
The agreed upon rates in a payer contract will be the basis for your level of reimbursement and it is crucial to negotiate them carefully. We utilize our knowledge, industry relationships and expertise to help our clients gets the most advantageous terms and rates.
From Start to Finish
Our credentialing staff will work with you to gather the information needed for the contracting process. We work proactively with the payer to ensure the entire process is handled effectively and expeditiously. As we progress, we will keep you informed with step-by-step updates. We take care of everything so you can focus on what you love to do.
From Start to Finish
Our credentialing staff will work with you to gather the information needed for the contracting process. We work proactively with the payer to ensure the entire process is handled effectively and expeditiously. As we progress, we will keep you informed with step-by-step updates. We take care of everything so you can focus on what you love to do.
Premier RCM Experts
872-810-3621
Premier RCM Experts
872-810-3621